Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06188 | Date 22/06/2022 |
| Token No | SM/22-23/3548 22/06/2022 | Serial | 011 |
| Patient Name | Baby SAMADRITA GHOSH | Contact No | 8697354187 |
| Address | 52 LALIT MOHAN BHATTACHARYA ST | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||